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Speech in Commons Chamber - Tue 06 Dec 2016
Health Service Medical Supplies (Costs) Bill

"I am grateful to you for your guidance, Madam Deputy Speaker. As I have said, I am putting the Bill in the context of the NHS and its effect in addressing the much deeper problems of the NHS. I was simply adverting to some of those deeper problems, but I …..."
Rob Marris - View Speech

View all Rob Marris (Lab - Wolverhampton South West) contributions to the debate on: Health Service Medical Supplies (Costs) Bill
Written Question
Russells Hall Hospital: Private Finance Initiative
Friday 25th November 2016

Asked by: Rob Marris (Labour - Wolverhampton South West)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what recent estimate his Department has made of the real terms amount in (a) interest and (b) service charges and (c) all other costs repayments in unitary charges over the lifetime of all the private finance initiative schemes at Russells Hall Acute Hospital.

Answered by Philip Dunne

The latest published information for the overall cost projections for all private finance initiative (PFI) schemes over the lifetime of their contracts, including that at Russells Hall Acute Hospital (part of The Dudley Group NHS Foundation Trust), is available on the Treasury’s website, via:

https://www.gov.uk/government/publications/private-finance-initiative-and-private-finance-2-projects-2015-summary-data

This information was collected in financial year 2014/15. The data collection in financial year 2015/16 is to be published shortly.

The table shows that for the Russells Hall Acute Hospital the total unitary charge payment (UP) for 2014/15 was estimated as £41.120 million. UPs are subject to meeting agreed performance and quality standards, contractual variations agreed between the parties, and include an annual uprate assumption for inflation of 2.5%.

The Trust’s 2015/16 annual report and accounts show the final outturn UP figure for 2014/15 as £39.267 million. Trusts are now required to account for the PFI scheme as ‘on-balance sheet’ and this means that the substance of the contract is that the trust has a finance lease and payments comprise two elements, a finance lease charge and service charge. The relevant note to the Trust’s 2015/16 accounts show an interest charge for 2014/15 of £5.752 million and a service charge of £21.696 million.

Written Question
NHS: Private Finance Initiative
Wednesday 16th November 2016

Asked by: Rob Marris (Labour - Wolverhampton South West)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, pursuant to the Answer of 11 October 2016, Official Report, column 143, which (a) three legacy private finance initiative schemes relate to the liabilities figure of £1.7 billion and (b) PF2 scheme relates to the figure of £340 million given in that Answer.

Answered by Philip Dunne

Information on the three legacy Private Finance Initiative (PFI) schemes signed since 2010, including the total expected payments under the contracts, is shown in the table below.

NHS Trust

Capital Value £ million

Financial Close date

Expected payments under the PFI contract £ million

Papworth Hospitals NHS Foundation Trust (Cambridge)

165

12 March 2015

502

Alder Hey Children's NHS Foundation Trust (formerly Royal Liverpool Children's)

237

21 March 2013

542

Royal Liverpool and Broadgreen University Hospitals NHS Trust

450

13 December 2013

719

Total

1,763

The Private Finance 2 (PF2) scheme approved since 2010 is that for Sandwell and West Birmingham Hospitals NHS Trust, which reached financial close on 11 December 2015. The figure of £340 million is the capital value of the scheme; the total expected payments under the PF2 contract (the liabilities) is £692 million.

Between 1997 and 2010, 103 National Health Service hospital PFI schemes reached financial close, creating liabilities of £77 billion.

The expected payments under both PFI and PF2 contracts are subject to meeting agreed performance and quality standards and include an annual uprate assumption for inflation of 2.5%.

Speech in Public Bill Committees - Tue 15 Nov 2016
Health Service Medical Supplies (Costs) Bill (Second sitting)

"On the number of drugs to which the Minister referred, will he give an indication now or later of how many, if any, of those drugs were repurposed? I am thinking, for example, of a drug that has recently had a lot of publicity; it is primarily used for osteoporosis, …..."
Rob Marris - View Speech

View all Rob Marris (Lab - Wolverhampton South West) contributions to the debate on: Health Service Medical Supplies (Costs) Bill (Second sitting)
Speech in Public Bill Committees - Tue 15 Nov 2016
Health Service Medical Supplies (Costs) Bill (Second sitting)

"The Minister was talking about such decisions being clinically led. Will he therefore assure the Committee that the decision to cut spending on public health in England, to put the money into frontline medical services, was a clinical decision?..."
Rob Marris - View Speech

View all Rob Marris (Lab - Wolverhampton South West) contributions to the debate on: Health Service Medical Supplies (Costs) Bill (Second sitting)
Speech in Public Bill Committees - Tue 15 Nov 2016
Health Service Medical Supplies (Costs) Bill (Second sitting)

"The Minister read out what I understood to be the role of NICE. May I focus for a moment on the words “value for money”? My understanding is that if NICE in England says that a particular medicine—perhaps a new medicine or a repurposed medicine—is value for money, then because …..."
Rob Marris - View Speech

View all Rob Marris (Lab - Wolverhampton South West) contributions to the debate on: Health Service Medical Supplies (Costs) Bill (Second sitting)
Speech in Public Bill Committees - Tue 15 Nov 2016
Health Service Medical Supplies (Costs) Bill (Second sitting)

"I am always ready...."
Rob Marris - View Speech

View all Rob Marris (Lab - Wolverhampton South West) contributions to the debate on: Health Service Medical Supplies (Costs) Bill (Second sitting)
Speech in Public Bill Committees - Tue 15 Nov 2016
Health Service Medical Supplies (Costs) Bill (Second sitting)

"What a pleasure to appear before you for the first time, Mr Pritchard. As you know, my mother is one of your constituents and was quite a frequent correspondent. She is now in quite frail health so I suspect that you have not heard from her recently, but I thank …..."
Rob Marris - View Speech

View all Rob Marris (Lab - Wolverhampton South West) contributions to the debate on: Health Service Medical Supplies (Costs) Bill (Second sitting)
Speech in Public Bill Committees - Tue 15 Nov 2016
Health Service Medical Supplies (Costs) Bill (Second sitting)

"Indeed. I very much welcome clause 3 because it is to do with extending the statutory scheme. The helpful library briefing cites the Department of Health consultation from December 2015, which points out:

“In 2014 the statutory scheme covered around 6% of branded medicines sales in the UK”,

in contrast …..."
Rob Marris - View Speech

View all Rob Marris (Lab - Wolverhampton South West) contributions to the debate on: Health Service Medical Supplies (Costs) Bill (Second sitting)
Speech in Public Bill Committees - Tue 15 Nov 2016
Health Service Medical Supplies (Costs) Bill (Second sitting)

"With respect to the hon. Gentleman, that is precisely what price controls do: they stop rip-offs. If one has price controls for other reasons, that is a separate debate. The price controls discussed in the Bill and in the 2006 Act are, as I understand it, precisely to stop rip …..."
Rob Marris - View Speech

View all Rob Marris (Lab - Wolverhampton South West) contributions to the debate on: Health Service Medical Supplies (Costs) Bill (Second sitting)